﻿<!doctype html>
<html>

	<head>
		<meta name="viewport" id="viewport" content="width=device-width, minimum-scale=1, maximum-scale=1, initial-scale=1.0,user-scalable=no" />
		<meta name="apple-mobile-web-app-capable" content="yes" />
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		<meta charset="utf-8">
		<title>首页</title>
		<link href="css/css.css?v=185" rel="stylesheet" type="text/css">
		<link href="css/iconfont.css" rel="stylesheet" type="text/css">
	</head>

	<body>
		<!----------------头部定位---------------------------->
		<div class="header">
			<span class="headleft">
            <span class="back"><i class="iconfont icon-jiantou"></i></span>
			</span>
			<span class="tbbiaoti">提交申请</span>
			<span class="headright">
            <span class="xiaox fhtb"></span>
			</span>
		</div>

		<!----------------内容开始---------------------------->
		<div class="main">
			<div class="bgbai mbtopbottom zitidx">
				<p class="tjren mbbottom"><a href="#"><span class="wenbenkw"><input type="text" placeholder="推荐人" class="tjsqwbk"></span><b>*</b>推荐人</a></p>
				<p class="gsbiaoti mbbottom">公司基本信息</p>
				<p class="tjren mbbottom mleft10"><a href="#"><span class="wenbenkw"><input type="text" placeholder="公司名称" maxlength="128" class="tjsqwbk"></span><b>*</b>公司名称</a></p>
				<p class="tjren mbbottom mleft10">
					<a href="#">
						<span>
                        <select class="sxhyxl">
                            <option>所属行业</option>
                            <option>所属行业</option>
                            <option>所属行业</option>
                        </select>
                    </span>
						<b>*</b>所属行业
					</a>
				</p>
				<p class="tjren1 mbbottom mleft10">
					<a href="#">
						<span>
                        <select class="sxhyxl">
                            <option>所属区域</option>
                            <option>所属区域</option>
                            <option>所属区域</option>
                        </select>
                    </span><b>*</b>所在区域
					</a>
				</p>
				<p class="tjren1 mbbottom mleft10"><a href="#"><span class="wenbenkw"><input type="text" placeholder="详细地址" maxlength="128" class="tjsqwbk"></span><b>*</b>详细地址</a></p>
				<p class="tjren1 mbbottom"><a href="#"><span class="wenbenkw"><input type="text" placeholder="公司电话" maxlength="128" class="tjsqwbk"></span></span><b>*</b>公司电话</a></p>
				<p class="gsbiaoti mbbottom">联系信息</p>
				<p class="tjren mbbottom mleft10"><a href="#"><span class="wenbenkw"><input type="text" placeholder="公司负责人" maxlength="128" class="tjsqwbk"></span><b>*</b>公司负责人</a></p>
				<p class="tjren mbbottom mleft10"><a href="#"><span class="wenbenkw"><input type="text" placeholder="联系人名称" maxlength="128" class="tjsqwbk"></span><b>*</b>联系人</a></p>
				<p class="tjren mbbottom"><a href="#"><span class="wenbenkw"><input type="text" placeholder="联系人电话" maxlength="128" class="tjsqwbk"></span><b>*</b>联系电话</a></p>
				<p class="gsbiaoti mbbottom">补充信息</p>
				<p class="tjren1 mbbottom mleft10">
					<span class="xxlyxz">
                	<span class="from-1">
                    	<b class="zhifu-qianbao floatl">
						<input type="checkbox" id="checkbox-1-1"  /><label for="checkbox-1-1" class="chechkbox-width"></label>
					    </b>其他渠道
                    </span>
					<span class="from-1">
                    	<b class="zhifu-qianbao floatl">
						<input type="checkbox" id="checkbox-1-2" /><label for="checkbox-1-2" class="chechkbox-width"></label>
					    </b>网络
                    </span>
					<span class="from-1">
                    	<b class="zhifu-qianbao floatl">
						<input type="checkbox" id="checkbox-1-3" /><label for="checkbox-1-3" class="chechkbox-width"></label>
					    </b>朋友
                    </span>
					<span class="from-1">
                    	<b class="zhifu-qianbao floatl">
						<input type="checkbox" id="checkbox-1-4" /><label for="checkbox-1-4" class="chechkbox-width"></label>
					    </b>亲友
                    </span>
					</span>
					<b>*</b>信息来源
				</p>
				<p class="tjren mleft10">
					<span class="xxlyxz">
                    <span class="from-1">
                    	<b class="zhifu-qianbao floatl">
						<input type="checkbox" id="checkbox-1-5"/><label for="checkbox-1-5" class="chechkbox-width"></label>
					    </b>没有联系
                    </span>
					<span class="from-1">
                    	<b class="zhifu-qianbao floatl">
						<input type="checkbox" id="checkbox-1-6" /><label for="checkbox-1-6" class="chechkbox-width"></label>
					    </b>已介绍
                    </span>
					<span class="from-1">
                    	<b class="zhifu-qianbao floatl">
						<input type="checkbox" id="checkbox-1-7" /><label for="checkbox-1-7" class="chechkbox-width"></label>
					    </b>已告知
                    </span>
					</span>
					<b>*</b>联系与否
				</p>
			</div>
			<p class="anniu"><a href="javascript:void(0);">提交</a></p>
		</div>

	</body>

</html>